Colon Flashcards

(66 cards)

0
Q

Wall is puckered into sacculations

A

Colon

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1
Q

Located from the distal end of the ileum to the anus

A

Colon

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2
Q

Function is absorption of fluid and solutes

A

Colon

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3
Q

Prevents reflux of chyme

Slows passage of ileal contents by sympathetic stimulation

A

Valves - located at ileocecal orifice

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4
Q

In the R iliac fossa, colon becomes what?

A

Cecum

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5
Q

Rests on iliacus and psoas major
Covered by peritoneum
Appendix arises
Large blind pouch

A

Cecum

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6
Q

Frequently contains the vermiform appendix

A

Retro-cecal recess

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7
Q

Commences fluid and electrolyte reabsorption

A

Colon

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8
Q

Blood supply of the colon

A

Ileo-colic artery

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9
Q

Superior branch of the ileo colic artery anastomoses with

A

R colic a

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10
Q

What branch of the ileo colic artery anastomoses with r colic a

A

Superior branch

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11
Q

Inferior branch of the ileo colic artery anastomoses with

A

SMA

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12
Q

What are the branches of the Inferior branch of ileo colic artery

A
Ascending (colic) a
Ante cecal a
Poste cecal a
Ileal a
Appendicular a
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13
Q

Ileo colic vein drains to

A

SMV

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14
Q

What drains into the superior branch of the ileo colic vein

A

Ascending colic vein

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15
Q

What drains into the inferior branch of the ileo colic vein

A

Anterior and posterior cecal c
Ileal v
Appendicular v

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16
Q

Nodes in the ileo colic chain drains to

A

SM Nodes

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17
Q

Where ascending colon bends to the left and is the junction of ascending and transverse colon

A

R colic or hepatic flexure

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18
Q

Where bloodless surgery can be done

A

Paracolic gutter

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19
Q

Supplies the distal half of the ascending colon

A

R colic artery

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20
Q

Branch of the R colic a that anastomose with ileo colic a

A

Descending

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21
Q

Middle colic artery anastomose with what branch of the r colic a

A

Ascending

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22
Q

R colic vein drains to

A

SMV then Portal v

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23
Q

IMV drains to

A

Splenic v

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24
Gasto colic trunk is composed of what vessels
SMV R gastro epiploic v Inferior pancreatico duodenal v
25
Lymph drainage of the ascending colon
Superior Mesenteric plexus
26
Colon: an inverted arch - 50 cm long
Transverse colon
27
The transverse colon curves below the spleen as the __________. This is also the junction of the transverse and descending colon.
L colic or splenic flexure
28
Transverse colon is attached to the diaphragm by
Phrenico colic ligament
29
Transverse colon is attached to the greater curvature by
Gastro colic ligament
30
Condition that is mistaken for free intraperitoneal gas
Chilaiditi syndrome
31
Supplies the proximal 2/3 of transverse colon
SMA via Middle colic a
32
Branch of the middle colic artery that anastomose with r colc a
R branch
33
The L branch of the middle colic a anastomose with
L colic a
34
Supplies the distal third of transverse colon
Asc branch of L colic a
35
Branches of the middle colic a drains to
Branches of middle colic v
36
Middle colic v drains to
Direct: portal Indirect: SMV
37
Proximal 2/3 of the transverse colon is innervated by
SM Plexus
38
SYMPAthetic supply of the distal third of the transverse colon and descending colon is via
IM Plexus ONLY
39
PARASYMPAthetic supply of the distal third of the transverse colon and the descending colon is via
IM Plexus AND 2nd-4th sacral segments
40
Descends in the angle between psoas major and quadratus lomborum to the iliac crest - 25 cm long
Deacending colon
41
Arterial supply of the descending colon
IMA via L colic branch
42
Left branch of the L colic a anastomose with
Highest sigmoid artery
43
L colic vein drains to
IMV
44
Lymph drainage of descending colon
IM nodes
45
Descending colon curves infero-medially to form a mobile loop and become
Sigmoid colon
46
Where taenia coli terminates
Sigmoid colon
47
Recto sigmoid junction
Termination of taenia coli indicates
48
Sigmoid colon is mobile except where?
Middle part: vulvulus of sigmoid colon
49
Disappear as longitudinal muscle of the colon broadens to form a complete layer in the rectum
Taenia coli
50
Sigmoid colon ends where
L midline at level of S3
51
Branch of IMA that supplies lower descending and sigmoid colon
Sigmoid arteries, usually 3-5
52
Sigmoid arteries anastomose superiorly with _________ to form marginal arteries
Desc branch of L colic a
53
Sigmoidal arteries anastomose inferiorly with
Superior rectal a
54
True or False. Sigmoid arteries anastomose with each other
True. They form marginal arteries
55
Drains sigmoid colon
Sigmoid veins to IMV to splenic to portal
56
Lymphatic drainage of sigmoid colon
Sigmoid nodes in sigmoid mesocolon to intermediate colic LN to IM LN
57
Sigmoid nodes drain to
IM nodes | - but may also drain to SM nodes
58
Orad to L colic flexure, para and sypma fibers travel TOGETHER from
Abdominal Aortic Plexus
59
ABORAD, sympa supply comes from
IM plexus
60
ABORAD, parasympa fibers comes from
Both IM Plexus and via 2nd-4th sacral segments
61
Distinct longitudinal branch of tenia coli
Mesocolic tenia Omental tenia Free tenia
62
Sacculations of the wall of the colon between tenia
Haustra
63
Thickened bands of smooth muscle representing most of the longitudinal coat of the colon
Tenia coli
64
Where tenia coli merge with each other to form a continuous layer around rectum
Rectosigmoid junction
65
Cecum is bound to the abdominal wall by
Cecal folds